Individual provider Active NPI

Zachary Fisk, MD

  • Pain Medicine Physician
  • Bellevue, WA
National Provider Identifier
1992931711
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD60491842 Issued in WA
Practice address
1310 116TH Ave NE
Bellevue, WA 98004-3817
Phone
(425) 440-3351
Fax
(425) 440-3439
NPI assigned
Jun 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Anesthesiology Physician 207L00000X 60491842 WA
Pain Medicine Physician 208VP0000X MD60491842 WA Primary

Addresses

Primary practice location

1310 116TH Ave NE
Bellevue, WA 98004-3817

Mailing address

1310 116TH Ave NE
Bellevue, WA 98004-3817
Phone (425) 440-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170405000497 WA Practitioner - Pain Management 8022394105 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Tufts University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acute Pain Management PLLCGroup PAC ID 7113203290, 4 clinicians

Practice addresses (Care Compare)

13033 NE Bel Red Rd
Suite 210
Bellevue, WA 98005-2633
Phone (425) 440-3351

Merit-based Incentive Payment System (MIPS)

Final score
71.86 of 100Reported as group
Quality
61.97
Promoting interoperability
67
Improvement activities
40
Cost
71.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60491842WAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Pain Alliance Pain Medicine CurrentSince Mar 1, 2022 Accepting new patients
Sound Pain Alliance CurrentSince Mar 1, 2022 Accepting new patients
Sound Pain Alliance Current Accepting new patients

Locations

13033 NE Bel Red Rd
Ste 210
Bellevue, WA 98005
Phone (425) 440-3351

13033 NE Bel Red Rd
Ste 120
Bellevue, WA 98005
Phone (425) 440-3351

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

Interoperability endpoints

  • Direct secure messaging: zfisk@apmp-wa.direct.office.nextgen.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1992931711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043817",
            "telephone_number": "425-440-3351",
            "fax_number": "425-440-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043817",
            "telephone_number": "425-440-3351",
            "fax_number": "425-440-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISK",
        "first_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "60491842",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WA",
            "license": "MD60491842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.